[Treatment of spinal cord hemangioblastoma by microoperations combined with embolization].
OBJECTIVE
To investigate the effects of microoperations combined with embolization in treatment of spinal cord hemangioblastoma.


METHODS
Thirty-six patients with spinal cord hemangioblastoma, 21 males and 15 females, aged 24.2 (12-48), underwent MRI and digital abstraction angiography. Twelve of them underwent pure microsurgical treatment and 24 of them underwent operation combined with remobilization.


RESULTS
MRI showed clear boundary mass, and DSA showed round or oval high density images with clear boundary and definite supplying artery. 30 cases had their tumors totally removed; and 6 cases had their tumors subtotally removed. Complete functional recovery was seen in 27 of the 36 patients (67%). Four patients resumed their self-care ability,and 4 still needed someone's help.


CONCLUSIONS
Embolization lowers the blood supply of the spinal cord hemangioblastoma, elevates the cure rate, and enlarges the indication of spinal cord hemangioblastoma operation.
Yang
Yu-ming
YM
Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.
Wang
Da-ming
DM
Jiang
Hong-zhi
HZ
Sha
Cheng
C
Yuan
Qing-guo
QG
Liu
Jia-chun
JC
D000293:Adolescent; D000328:Adult; D002648:Child; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D018325:Hemangioblastoma / Q000628:therapy*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013120:Spinal Cord Neoplasms / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult